Posted by Dr. Julian De Silva | June 30th, 2022
Decreased collagen production and hyaluronic acid levels cause jowls.
As you become older, you tend to lose definition around your jawline. The supporting components that keep your features youthful, like elastin and collagen, begin to deplete.
You might lose fat in the cheeks and temples and have excess or saggy skin. These lead to your chin and neck losing shape. On top of that, your skin becomes drier and thinner as you age. This makes it less robust and more susceptible to the forces of gravity.
As a result, loose skin around your chin and jawline can form. This generates jowls that age your entire appearance.
But how do you get rid of jowls? Can you permanently eliminate them?
In this article, I will talk about how you can get rid of jowls and prevent future sagging skin. I will also answer the most common questions about jowls.
Jowls are less pronounced in people who have thicker skin, but they become more noticeable as one ages.
Yes, you can reverse sagging jowls. While jowls are a natural sign of ageing, you can reverse them through many treatments.
For one, injectable solutions such as dermal fillers are great for restoring your face volume. Ultrasonic treatments such as Ultherapy are also helpful for stimulating the creation of more collagen. This immediately lessens the sagging effect of jowls.
Radiofrequency (RF) skin treatments can also recontour, smooth, and tighten the skin around your chin and jawline. Each treatment has its own distinct advantages, and our professionals can assist you in selecting the best process for your specific skin needs.
However, if you want a permanent fix for pronounced jowls, surgery performed by board certified plastic surgeons like Dr. Julian De Silva, M.B.B.D, MD is the right way to go.
An effective treatment for jowls does not include weight loss.
No, losing weight cannot get rid of saggy jowls for some people. Even extreme weight loss does not work for a majority of patients, especially those with aging skin. It’s because weight loss makes jowls more prominent in the first place.
However, according to some studies, facial exercises and exercise, in general, can help reduce the look and severity of droopy skin and jowls. They do this by improving the ability of the facial, jaw, and neck muscles to keep their form.
The majority of prescribed exercises should be performed one after the other to ensure that the face muscles are exercised evenly. Each exercise should be held for 10 to 20 seconds before being released.
The following are some common facial exercises that may help improve jowls:
Facial exercises are not statistically proven to treat jowls.
However, all existing research on the effect of facial exercises on treating jowls is not enough to pull out statistical evidence. Hence, only a treatment plan that includes one or more procedures like jowl liposuction and plastic surgery ensures results.
On the other hand, this should not stop you from exercising your body and facial muscles. Exercise greatly improves various elements that contribute to your skin health. This may help lessen the age at which jowls form, as well as their severity.
Any repetitive facial habits that evenly activate or stretch the face muscles without overusing them may also aid in the reduction of jowls.
Bad lifestyle choices can cause jowls and saggy skin.
Jowls are drooping or excess skin on the neck, directly below the jawline and chin. Almost everyone gets jowls as they age, mainly because their skin loses elasticity.
Several causes, including genetics, sun damage or UV rays, lifestyle factors, and lost volume can contribute to more prominent jowls.
Though various variables are known to enhance the frequency and severity of jowls, age is the root reason.
This is because the skin begins to lose some of the substances that help it maintain its form as it ages. These substances include fat and connective tissue proteins like elastin.
The skin also becomes drier and thinner, making it more difficult to keep its shape. As the skin loses its elasticity and volume, it becomes more sensitive to gravity.
Sagging skin around the lips and cheeks migrates to the chin and jawline, resulting in jowls and a sagging jawline.
The following are risk factors for jowls:
A treatment plan for jowls can include more than one procedure.
Here are the procedures to treat jowls:
1. Neck Lift and Facelift
A neck lift shapes your jawline by removing fat, tightening muscles, and rearranging the skin around your neck. In most neck lifts, the incisions are made in front of and behind the ear, reaching into the hairline.
In some circumstances, a complete neck lift and facelift may be necessary to enhance your look. This plastic surgery eliminates fat, makes your skin tight, enhances your cheek muscles, and repositions skin on the lower half of your face so that your neck and face look the same.
While these procedures are promising, there are different type of facelift that can be tailored to your individual needs. For most patients a natural vertical lift, restoring the areas that have dropped to their original position is best (modified deep plane facelift), for some patients less is more (pony tail facelift, mini facelift).
2. Liposuction & Chin Implant
For younger patients with fullness under the neck and jaw line, another way to get rid of jowls is through jowl liposuction with or without a chin implant.
During this treatment, the surgeon will use a microcannula to remove fat from your chin region. They will also restructure the skin and jawline to avoid sagging in the future. Combined with bringing the chin forward this can work well for younger patients with good skin elasticity.
Liposuction can also be done with laser therapy to ensure that your skin remains tight and smooth.
3. Radiofrequency Jawline Tightening
This technique tightens the skin around your neck and chin using heat and radiofrequency energy from a gadget.
It may be repeated several times to guarantee that your skin remains tight. The recovery period is short, and the treatment may be completed in a single day.
4. Dermal Fillers
Dermal fillers can help treat those stubborn jowls of yours.
Dermal fillers are formed of a substance known as hyaluronic acid. In addition, dermal fillers are filler injections placed into the neck and chin to fill up jowls and make them appear less sagging.
Some dermal jawline fillers also stimulate your body’s production of collagen, allowing you to keep your skin tight. Although most fillers are soft and made of a gel called hyaluronic acid. They can be mixed with a calcium filler that will give a stronger more defined and shaped jaw line.
Ultherapy is the use of ultrasonic therapy to encourage long-term collagen formation in the skin’s deep layers.
It typically takes one session, and patients are able to resume their normal activities immediately following the operation.
Several months following treatment, most patients report a continuous improvement in skin tightness and stiffness.
This is a non-surgical treatment and often the results are relatively mild and conservative, not suitable for patients wanting marked change and the results are three to six months after receiving ultrasound therapy.
Radiotherapy employs intense, radiating heat to promote collagen and elastin fibre bundles around 2 millimeters beneath the skin’s surface. As a result, the bundles recoil and the skin tightens.
Radiotherapy also increases protein formation by deceiving the body into believing connective tissues are injured.
For best outcomes, many patients need to repeat treatments a few times a year. Pelleve is the most commonly used brand name for jowl radiation.
You can prevent jowls and reduce risk by avoiding smoking.
Here are things you can do to reduce the risks associated with procedures involving the jowl area:
If you have jowls and a sagging chin area, know that you have many treatment options.
There are various techniques for correcting drooping jowls or making them seem less saggy or droopy. Neck lifts, for example, can tighten your skin and make it appear less saggy.
Non-surgical therapies such as thermage, lasers, and fillers can alter the collagen composition of your skin. To conceal empty regions around the jowls, fillers might be employed.
When you go out, you can also disguise your jowls with clothes and cosmetics.
Jowls are caused by the same factors that cause wrinkles.
Here are the common causes of jowls:
1. Loss of Elastin and Collagen
The skin on your cheeks and the skin below your jaw loses a lot of elastin and collagen as time passes by. Collagen is a protein that builds up your body’s connective tissue. Elastin is another substance that gives your skin the ability to go back to its original form after being stretched.
Your genes can also influence whether you acquire jowls and how visible they become over time. For one, you are more prone to get jowls if either of your parents has them. If you have thin skin or a lack of collagen and elastin in your skin, you may develop jowls at a young age as well. Jowls can appear as early as your twenties or thirties.
3. Facial Expressions
Making specific facial expressions often might stretch out your face or neck skin.
4. Sun exposure
Overexposure to ultraviolet (UV) radiation in sunlight might harm your skin. As a result, your skin may sag sooner.
Cigarette nicotine and other substances can harm your collagen and elastin levels. On top of that, smoking can cause your blood vessels to constrict. This reduces blood circulation and inhibits your skin from receiving essential nutrients such as vitamin A.
6. Using computers or phones
Long durations of computer use or staring down at a smartphone can cause the skin around your neck to lose suppleness. The term “tech neck” refers to these jowls.
The best treatment for jowls include a facelift and neck lift.
The best procedures for sagging jowls are undoubtedly a neck lift and full facelift.
For one, a neck lift and full facelift are permanent fixes. This means that you only have to get them once.
In fact, many of my patients who get these procedures enjoy the results for a lifetime.
If you’re dissatisfied with your jowls, you have numerous alternatives for treating them.
Talk to me, Dr. Julian De Silva, an experienced and qualified plastic surgeon about the best choice. Contact us to book a consultation with Dr. De Silva now! As an alternative, you may visit our Harley Street clinic, the Centre for Advanced Facial Cosmetic & Plastic Surgery.